Which route of drug admin are there no barriers to absorption?
Intravenous
An uncommon, unexpected, or individual drug response thought to result from a genetic predisposition is called ?
an Indiosyncratic effect
An adverse drug reaction caused by an excessive dose of a particular medication
Drug toxicity/ a toxic effect
Results when two medications combined potentiate, block, or alter the effets of either or both drugs when used separately
A Synergistic effect
you are giving a pt several PO meds to take. the pt tells you that she can only take one pill at a time. what should you do as the nurse?
Remain at the bedside until you are sure the patient has taken all of the medications.
Which of the following is the highest priority action for ensuring overall safety during medication administration?
C) Identify the patient by two acceptable methods
the name or names under which the drug is marketed is what?
the trade, brand , or proprietary name.
A drug's generic name is same as what?
its nonproprietary name
A pt who requires an increased dose of a med to achieve continued theraputic benefit is exhibiting what?
Drug tolerance
A pt who continues to take a med despite harmful effects is exhibiting what?
a drug addiction
A pt who exhibits signs of withdrawl when a medication is discontinue is exhibiting what
Physical drug dependence
When a pt develops an intense craving for a drug, the pt is exhibiting what?
A drug reliance
1 pint = how many oz?
16 fluid oz
how many tablespoons equal 1 oz?
2 tablespoons
how many oz equal 1 cup?
8 oz
1 oz = how many ml?
30 ml
When should all routinely ordered medications be given?
within 60 min of the time ordered (30 min before or after the prescribed time)
what is the correct method to administer eye drops?
Pulling down pt's lower eyelid and drop the medication inside.
For a dry powder inhaler (DPI) it is important for the nurse to make sure the pt can do what?
Inhale deeply, because DPI have no propellant
True of False. A metered dose inhaler does not contain a propellant.
False, it does
When a pt refuses to take their meds, what should the nurse do?
Doc the reason for refusal along with the date and time in the pt's medical record
Why is a spacer needed for an inhaler?
More medication is delivered to the lungs when you use a spacer
How should a nurse administer eard drops for a toddler
pull the pt aurical down and back to open the canal
how should you administer med for a pt who is receiving enteral feedings through a small bore nasogastric tube?
Infusing each med by gravity and flushing with water before and after instillation.
What type of syringe should you use when administering med through a small bore nasogastric tube?
a Luer-Lok syringe
To facillitate instillation of a med into a nasogastric tube, how far should you raise the syringe from the insertion sight?
18 inches
what should a nurse assess before administering medications through a nasogastric tube?
Amt of residual volume left in the stomach
Tympany and dullness by percussion of the abdomen assess for what?
constipation and trapped gas in the intestines.
Refers to a med given via the mucosa under the tongue?
sublingual
Refers to a medication given via the gastrointestinal tract
Enteral
Refers to a medication given via a skin patch?
Transdermal
Indicates that a medication is given by injection
Parenteral
According to ATI, what is the proper technique for administering an intradermal injection?
Use a tuberculin syringe with a 3/8 to 5/8 inch, 25 to 27- guage needle
What is the highest priority before a nurse gives a medication?
Identify if the pt has allergies to the med
what is the proper needle length to give a IM injection?
1 1/2 inches
to prevent tissue damage for a person receiving an injection of insulin, what should the nurse do?
rotate the injection sites to avoid tissue injury
According to ATI, nor more than _ ml should be administered for a single subQ injection?
1 ml
True of Fale. According to ATI, it is not neccessary to aspirate the syringe when administerin a subQ injection.
True
What degree should you give a intradermal injecion?
5- 15 degrees
What degree should you give a subq injection?
45- 90 degrees
what degree whould you give a IM injection?
90 degrees
what gauge should the needle of a intradermal injection be ?
25- 27 guage
what gauge should a subQ injection be?
25- 30 gauge
what gauge should a IM injeciton be?
18 to 25 gauge
What length should a intradermal needle be?
3/8 to 5/8 inch
What length should a subQ needle be?
3/8 to 5/8 inch (same as intradermal)
What length should a IM injection be?
5/8- 1 1/2 in
What should the nurse first if a pt's IV alarm is going off indicating that there is an occlusion
Check the line at or above the hub for kinked tubing that is creating a resistance to flow
The nurse is assessing a pt with and IV of normal saline, he reports a cough and shortness of breath. This would indicate to the nurse that the pt is experiencing?
Fluid overload
True of False. According to ATI, it is generally normal for a pt's skin to be cool over an IV site.
True. you are infusing fluids that are room temp and the pt's temp is higher than the room temp
What is a disadvantage of parenterally administered medications
they are irreversible
When preparing to administer and IV med via piggy back while the pt is also recieving another fluid, the nurse know that the highest priortity data to collect is?
The medication compatibility with the primary IV solution
a PICC line is a long catheter insterted through the veins of the what?
Antecubital Fossa
During the first 10 to 15 minutes of administration of a med given IV, the nursees priority assessment is to look for
the pt showing signs of having a systemic (involving the whole body) allergic reaction.
Before performing a venipuncture for an IV, the nurse should do what?
Inspect the IV solution for fluid color, clarity, and expiration date.
how far should a tourniquet be from the insertion site for an IV
4 to 6 inches
upon assessment of a pt with an IV, you notice the pt's arm is swollen, red and warm. The pt also reports tenderness and burning at the site. The nurse know that this indicates what?
Phlebitis
unintentional admin of a solution via IV solution is called what
Infilitration.
The nurse notices that the pt's tissue around their IV site is swollen, pale, and cool to the touch. This indicated that the pt's IV has ?
Infiltrated
What should the nurse do if they notice signs of phlebitis or infiltration at an IV site?
Stop the infusion and discontinue the IV line (According to ATI)
What is the most important factor after administering a medication through a PICC line
flushing it with normal saline, to preven it from occluding from fibrin, blood or med residue.
Central venous catheters are most often placed where?
The jugular, or the subclavian vein, where they then advanced into the superior vena cava.
